SKYLINE VISION OPTICAL LLC
NPI: 1316497456
· CANON CITY, CO 81212
· 332H00000X
$141K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
874 |
$35K |
| 2022 |
893 |
$32K |
| 2023 |
808 |
$41K |
| 2024 |
536 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Lens variab asphericity sing |
672 |
606 |
$56K |
| V2020 |
Vision svcs frames purchases |
729 |
652 |
$29K |
| V2784 |
Lens polycarb or equal |
685 |
617 |
$24K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
355 |
307 |
$16K |
| 92340 |
|
657 |
598 |
$15K |
| V2100 |
Lens spher single plano 4.00 |
13 |
12 |
$500.85 |